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Case #2 : Displayed 17/11/1997

Lesion is painful and bleeds easily on minimal trauma. The surface of the mass shows multiple ulceration, hemorrhage and necrotic tissue. The base is hard and indurated. Multiple smaller protuberant swellings arise from the same base.

Investigations were done and include:

Abdominal sonography which revealed no organomegaly or metastasis of internal organs.

Scanning X-rays revealed no bone metastases.

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Histopathology: There is a spindle shaped neoplasm that extends throughout the dermis and also involves the fibrous septa in the subcutaneous fat. The spindle shaped cells are arranged in storiform pattern  there is abundant mucin within the fibrous stroma.

Diagnosis:

Dermatofibrosarcoma protuberans